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WEST COAST CRITICAL CARE SPECIALIST OF LOS ANGELES INC. NPI 1780111625


NPI Information

NPI: 1780111625
Provider Name: WEST COAST CRITICAL CARE SPECIALIST OF LOS ANGELES, INC.
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 05D2190915

Address:
1401 S GRAND AVE
LOS ANGELES, CA
ZIP 90015
Phone: (805) 748-2411
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WEST COAST CRITICAL CARE SPECIALIST OF LOS ANGELES, INC. is a critical care medicine internal medicine in Los Angeles, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. WEST COAST CRITICAL CARE SPECIALIST OF LOS ANGELES, INC. NPI is 1780111625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 S GRAND AVE
LOS ANGELES, CA
ZIP 90015-010
Phone: (805) 748-2411

The provider's authorized official is Raj Bhatia .
The authorized official title is President and has the following contact phone number (805) 485-2400.

The CLIA number assigned to this NPI record is 05D2190915 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2017 and was last updated on 5/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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